A Multicentre Audit on Chest Wall Perforator Flaps for Partial Breast Reconstruction in Breast Cancer
Association of Breast Surgery ePoster Library. Kohli P. 05/13/19; 257154; P111
Mr. Pavneet Kohli
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P111
Topic: Oncoplastic and aesthetic surgery
Introduction: Partial breast reconstruction with chest wall intercostal perforator flaps is a relatively new technique, which uses volume replacement. It can be used effectively and safely to excise much larger tumours with good aesthetic outcomes. We present outcomes from a multicentre audit conducted in the United Kingdom. Methods All consecutive patients treated across three centres for wide local excision and partial breast reconstruction with a chest wall perforator flap from January 2015 to October 2018 were included. Oncoplastic breast surgeons performed the procedure and flap selection was based primarily on tumor location. Patient demographics, treatment details and post-operative outcomes were noted. Early complications were recorded as those occurring up to 90 days post-operatively. Results: 112 patients were included in the analysis. Mean patient age was 54 years with a mean BMI of 26.6kg/m2. About 85% excisions were performed for invasive cancers with a mean specimen weight of 74.34 grams and a mean excision volume of 137.32 cc. Fourteen patients (12.5%) had a margin revision for close or positive margin. The median follow-up was 13 months. Three patients (2.68%) had post-operative haematoma requiring evacuation. Two patients had fat necrosis managed conservatively. One patient had a donor site wound dehiscence. Results were comparable across three centres.ConclusionChest wall perforator flaps have satisfactory post-operative outcomes with minimal donor site morbidity and no flap related major complications in our experience. Oncoplastic breast surgeons with one-to-one training and mentoring can perform these procedures. Long-term aesthetic and oncological outcomes including PROMS need to be reported
Topic: Oncoplastic and aesthetic surgery
Introduction: Partial breast reconstruction with chest wall intercostal perforator flaps is a relatively new technique, which uses volume replacement. It can be used effectively and safely to excise much larger tumours with good aesthetic outcomes. We present outcomes from a multicentre audit conducted in the United Kingdom. Methods All consecutive patients treated across three centres for wide local excision and partial breast reconstruction with a chest wall perforator flap from January 2015 to October 2018 were included. Oncoplastic breast surgeons performed the procedure and flap selection was based primarily on tumor location. Patient demographics, treatment details and post-operative outcomes were noted. Early complications were recorded as those occurring up to 90 days post-operatively. Results: 112 patients were included in the analysis. Mean patient age was 54 years with a mean BMI of 26.6kg/m2. About 85% excisions were performed for invasive cancers with a mean specimen weight of 74.34 grams and a mean excision volume of 137.32 cc. Fourteen patients (12.5%) had a margin revision for close or positive margin. The median follow-up was 13 months. Three patients (2.68%) had post-operative haematoma requiring evacuation. Two patients had fat necrosis managed conservatively. One patient had a donor site wound dehiscence. Results were comparable across three centres.ConclusionChest wall perforator flaps have satisfactory post-operative outcomes with minimal donor site morbidity and no flap related major complications in our experience. Oncoplastic breast surgeons with one-to-one training and mentoring can perform these procedures. Long-term aesthetic and oncological outcomes including PROMS need to be reported
P111
Topic: Oncoplastic and aesthetic surgery
Introduction: Partial breast reconstruction with chest wall intercostal perforator flaps is a relatively new technique, which uses volume replacement. It can be used effectively and safely to excise much larger tumours with good aesthetic outcomes. We present outcomes from a multicentre audit conducted in the United Kingdom. Methods All consecutive patients treated across three centres for wide local excision and partial breast reconstruction with a chest wall perforator flap from January 2015 to October 2018 were included. Oncoplastic breast surgeons performed the procedure and flap selection was based primarily on tumor location. Patient demographics, treatment details and post-operative outcomes were noted. Early complications were recorded as those occurring up to 90 days post-operatively. Results: 112 patients were included in the analysis. Mean patient age was 54 years with a mean BMI of 26.6kg/m2. About 85% excisions were performed for invasive cancers with a mean specimen weight of 74.34 grams and a mean excision volume of 137.32 cc. Fourteen patients (12.5%) had a margin revision for close or positive margin. The median follow-up was 13 months. Three patients (2.68%) had post-operative haematoma requiring evacuation. Two patients had fat necrosis managed conservatively. One patient had a donor site wound dehiscence. Results were comparable across three centres.ConclusionChest wall perforator flaps have satisfactory post-operative outcomes with minimal donor site morbidity and no flap related major complications in our experience. Oncoplastic breast surgeons with one-to-one training and mentoring can perform these procedures. Long-term aesthetic and oncological outcomes including PROMS need to be reported
Topic: Oncoplastic and aesthetic surgery
Introduction: Partial breast reconstruction with chest wall intercostal perforator flaps is a relatively new technique, which uses volume replacement. It can be used effectively and safely to excise much larger tumours with good aesthetic outcomes. We present outcomes from a multicentre audit conducted in the United Kingdom. Methods All consecutive patients treated across three centres for wide local excision and partial breast reconstruction with a chest wall perforator flap from January 2015 to October 2018 were included. Oncoplastic breast surgeons performed the procedure and flap selection was based primarily on tumor location. Patient demographics, treatment details and post-operative outcomes were noted. Early complications were recorded as those occurring up to 90 days post-operatively. Results: 112 patients were included in the analysis. Mean patient age was 54 years with a mean BMI of 26.6kg/m2. About 85% excisions were performed for invasive cancers with a mean specimen weight of 74.34 grams and a mean excision volume of 137.32 cc. Fourteen patients (12.5%) had a margin revision for close or positive margin. The median follow-up was 13 months. Three patients (2.68%) had post-operative haematoma requiring evacuation. Two patients had fat necrosis managed conservatively. One patient had a donor site wound dehiscence. Results were comparable across three centres.ConclusionChest wall perforator flaps have satisfactory post-operative outcomes with minimal donor site morbidity and no flap related major complications in our experience. Oncoplastic breast surgeons with one-to-one training and mentoring can perform these procedures. Long-term aesthetic and oncological outcomes including PROMS need to be reported
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